Chang, Theodore K

Chang, Theodore K is an individual health care provider with primary practice located at 749 Bloomfield Ave Ste D , West Caldwell NJ 07006. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chang, Theodore K can be contacted via phone (646) 673-4496.

Contact Information

Primary practice address
749 Bloomfield Ave Ste D West Caldwell NJ 07006
Phone: (646) 673-4496
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI02565000 New Jersey
Dental Providers / General Practice 1223G0001X 057487 New York

Profile Details

NPI number 1871832774
LBN Legal business name Chang, Theodore K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2013
Last updated Jul 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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